Remote Workers' Comp Claims Specialist II

AF Group; Atlanta (GA); Remote; USD 57,000 - 95,000; Full time

Job summary

AF Group is seeking an intermediate-level workers' compensation claims handler to manage moderate to difficult claims in a remote US-based role. You will verify coverage, determine compensability through investigation, assess causal relationships, and coordinate return-to-work strategies while maintaining reserves and adherence to state laws.

The position requires California claims experience and the ability to negotiate settlements within authority.

Qualifications

• Bachelor's degree in a related field or equivalent combination of education and experience.
• Three years of workers' compensation claims experience across multiple jurisdictions preferred.
• Certification or progress toward certification is highly preferred and encouraged.

Responsibilities

• Verifies workers' compensation coverage of employers and injured employees.
• Determines compensability under workers' compensation by thorough investigation of the claim.
• Establishes timely and appropriate reserves based on the profile of the claim within given authority based on anticipated financial exposure.
• Negotiates settlements with attorneys or injured parties within given authority at the earliest possible point to bring cases to final disposition.

Skills

Negotiation

Analytical skills

Attention to detail

Communication skills

Multitasking

Independent decision making

Education

Bachelor's degree

Job description

AF Group is seeking an intermediate-level workers' compensation claims handler to manage moderate to difficult claims in a remote US-based role. You will verify coverage, determine compensability through investigation, assess causal relationships, and coordinate return-to-work strategies while maintaining reserves and adherence to state laws.

The position requires California claims experience and the ability to negotiate settlements within authority.